MEDICARE: EYE TO EYE OPTICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OE005975T	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578553947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE TO EYE OPTICAL

Provider Business Mailing Address
First Line	:	1225 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-3650
Country	:	US
Telephone Number	:	412-881-3090
Fax Number	:	412-881-2170

Provider Business Practice Location Address
First Line	:	1225 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-3650
Country	:	US
Telephone Number	:	412-881-3090
Fax Number	:	412-881-2170

Authorized Official
Title or Position	:	DOCTOR ON STAFF
Name	:	DR. WILLIAM E SAX
Credential	:	OD
Telephone Number	:	412-881-3090

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	08/22/2020

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Directions to “EYE TO EYE OPTICAL ” Practice Location

Language	Start Address	Practice Location

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